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The implant may be configured to best accommodate the patient's comfort and sleeping habits (e.g., set a delay based on sleep latency). The hypoglossal nerve stimulator implantable pulse generator battery life typically lasts 8–12 years, after which the implantable pulse generator may be safely replaced with another surgery. [8]
This maneuver is very helpful in doing MRI for sleep apnea, when sedation to patient can be avoided. There is some evidence that the sites of obstruction with Müller's maneuver do not represent reliably the sites of obstruction during normal sleep. Other factors such as the body's position whilst conducting the manoeuvre may well affect this.
Implantation of the VNS device is usually done as an out-patient procedure. The procedure goes as follows: an incision is made in the upper left chest and the generator is implanted into a little "pouch" on the left chest under the collarbone. A second incision is made in the neck, so that the surgeon can access the vagus nerve.
The second component of TRT uses a sound generator to partially mask the tinnitus. This is done with a device similar to a hearing aid that emits a low level broadband noise so that the ear can hear both the noise and tinnitus. This is intended to acclimate the brain to reducing its emphasis on the tinnitus versus the external sound.
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